Oct 20, 2020

Registered Nurse - Emergency Department * Sign on Bonus

  • Cheyenne Regional Medical Center
  • Cheyenne

Job Description


The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients.


  1. Completes nursing assessment of patient and documents appropriately into patient chart.
  2. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs.
  3. Implements medical and nursing orders per plan of care and documents appropriately.
  4. Evaluates patient's response to care.
  5. Engages in patient and family teaching as appropriate.
  6. Oversees staff assigned for providing patient care.
  7. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit.
  8. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.
  9. Documents training and competencies in electronic format.


ARU: Attends family conferences, patient care Conferences, and daily stand up meetings.

CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.

CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care.

CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.

FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review.

HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment.

HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.

MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.

RESOURCE POOL: Floats within designated pod and clinical specialty.

VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.

The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.


  • Demonstrates effective leadership and professional skills according to Standards of Care
  • Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process
  • Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations
  • Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes


  • Associate’s degree or higher from an accredited school of nursing
  • Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date
  • Cheyenne Regional AHA RQI within 14 calendar days of start date
  • 6 months experience required unless otherwise specified below
  • Minimum of one year experience required for the following units:
    • Medical, Telemetry, Surgical, Pediatric, ICU, OB GYN, Nursery II, Ortho Neuro, Rehab, Emergency Department, Labor and Delivery, Resource Pool, Care Clinic, Same Day Surgery


  • Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates
  • Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units):
  • AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit.
  • TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.

Candidates must meet the following mandatory requirements for specialty units once hired:

  • Administrative Reps. – AHA ACLS
  • Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS
  • Behavioral Health – CPI training prior to completion of orientation
  • Cardiac Services – AHA ACLS
  • ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC
  • Endoscopy – AHA ACLS
  • Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire
  • ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year
  • Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D
  • MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D
  • Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire
  • Nursery – AAP NRP within 6 months of hire
  • OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year
  • PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience
  • Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation
  • Resource- AHA ACLS, CPI within 6 months
  • Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire.
  • Telemetry – AHA ACLS within 1 year of hire


  • Bachelor’s degree or higher from an accredited school of nursing